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Liu Wei Jie
Obstetrics
About me
Graduated from Hebei Medical University, deputy chief physician, popular science author. Enthusiastic about public welfare popular science. With more than ten years of clinical work, I have performed numerous obstetrics and gynecology surgeries. I hope to use my years of clinical experience to solve everyone's medical doubts.
Proficient in diseases
Skilled in diagnosing complex ectopic pregnancies, embryonic arrest, prenatal nutrition, gestational diabetes, embryonic arrest, miscarriage, prenatal examinations, prenatal screening, non-invasive testing, Down syndrome screening, placenta previa, placental abruption, cesarean section, vaginal delivery, vaginitis, pelvic inflammatory disease, uterine fibroids, ovarian cysts, HPV infection, colposcopy, cervical erosion, cervical cin, and molar pregnancy, as well as their diagnosis and treatment.
Voices
Can you get pregnant with vaginitis?
Vaginitis is a very common gynecological issue among women, occurring countless times in every woman's life. Thus, the ability to get pregnant while having vaginitis indicates that there are no major issues with your body. Vaginitis itself does not affect the development of the fetus, however, during childbirth, it may lead to infections in the fetus. For instance, fungal vaginitis may cause oral thrush in children, and bacterial vaginitis may lead to infections of the uterine lining. In other words, vaginitis could potentially trigger infections during childbirth, affecting both the mother and the fetus. Throughout the pregnancy, it does not cause developmental deformities in the fetus.
Ectopic pregnancy abdominal pain symptoms
Let's first discuss what an ectopic pregnancy is. An ectopic pregnancy occurs when the fertilized egg implants outside of the uterus, such as in any part of the fallopian tubes, the corners of the uterus, or the abdominal cavity. Due to the different implantation sites, the symptoms of abdominal pain vary. A very small number of people feel no symptoms at all, experiencing only vaginal bleeding. Additionally, some people may feel severe discomfort in the abdomen. The last type involves severe, intense abdominal pain, resembling a tearing sensation, accompanied by nausea, vomiting, and hypotension shock.
Does an ectopic pregnancy hurt?
Ectopic pregnancy is an abnormal pregnancy experience. It is defined as the implantation and development of pregnancy tissue outside of the uterus, often leading to rupture and bleeding. Thus, over 95% of ectopic pregnancies result in pain. The majority of ectopic pregnancies occur in the fallopian tubes, where the pregnancy tissue develops and the tube may rupture. However, some individuals may not be sensitive to pain, and if the ectopic pregnancy occurs at the fimbrial end of the fallopian tube, they might not experience pain, though they may still feel discomfort in the lower abdomen. Diagnosis of an ectopic pregnancy requires a combination of ultrasound, progesterone, HCG levels, and the presence or absence of abdominal pain or bleeding.
How long do I need to rest after a natural miscarriage?
The duration of rest required after a miscarriage depends on the duration of pregnancy. For instance, for miscarriages within the first 3 months of pregnancy, it is recommended to rest for at least 2 weeks. Additionally, avoid sharing a bed for a month. If the miscarriage occurs between 3 to 28 weeks of pregnancy, follow the normal postpartum rest period of about 42 days, as it takes this time for the body to fully recover. Besides resting, it is crucial to avoid catching cold after a miscarriage, abstain from sharing a bed for a month, and take appropriate contraceptive measures or prepare for pregnancy accordingly.
Is the chance of getting pregnant with polycystic ovary syndrome high?
Polycystic ovary syndrome (PCOS) manifests as absent or irregular menstrual periods, and is also associated with obesity, hirsutism, insulin metabolism disorders, as well as elevated blood sugar and cholesterol levels. The mechanism behind the development of PCOS is unclear but may be related to genetic factors, diet, and lack of exercise. Due to the irregular menstrual cycles, which stem from anovulation (lack of ovulation), the likelihood of pregnancy decreases. It is challenging to calculate the specific probability of pregnancy, but overall, the chances of becoming pregnant with PCOS are very low, although there is still a possibility. Treatment for PCOS generally starts with lifestyle changes, such as avoiding staying up late and refraining from eating sweets. Weight management is also crucial; weight gain is recommended for those who are underweight, whereas weight loss is advised for those who are overweight, along with appropriate exercise.
Does the eugenic five-item check include syphilis?
Does the eugenic check for syphilis? Eugenic examination checks for toxoplasmosis, rubella virus, cytomegalovirus, and other mycoplasma, chlamydia, or parvovirus infections. These are generally diseases transmitted through the respiratory tract, and if infection occurs, they mainly affect the development of the fetus's brain or eyes, as well as the development of the liver and other internal organs. The test for syphilis, which is a type of sexually transmitted disease, belongs to infectious diseases. The eugenic check does not necessarily concern infectious diseases; it can be contracted through respiratory infection or by consuming contaminated food. However, syphilis is very specific in its transmission, which occurs through blood, mother-to-child transmission, or sexual contact. These two are not the same concept.
Will the fetus still move if the membranes rupture prematurely?
Firstly, it is necessary to identify what the issue of premature rupture of membranes is. Premature rupture of membranes can occur during early pregnancy or the mid-to-late pregnancy stage and involves uncontrollable leakage of fluid from the vagina. If there is no umbilical cord prolapse after the rupture of membranes, the baby will definitely move. The most common issues following premature rupture of membranes are umbilical cord prolapse and infection, as well as a reduction in amniotic fluid. What should be done after premature rupture of membranes occurs? It is essential to remain in bed, raise the buttocks, and avoid getting out of bed. Getting out of bed increases the risk of umbilical cord prolapse, and following umbilical cord prolapse, fetal death in utero can occur, after which fetal movement will no longer be observed.
Do contractions easily lead to premature birth?
There are two types of contractions. The first type is false labor contractions, which occur in the late stages of pregnancy. They generally happen more in the evening or afternoon and disappear in the morning. The true labor contractions are regular and intensify in waves, accompanied by an increase in vaginal discharge or spotting. If it's false labor, rest can usually improve the condition, and it's not a concern. However, some people, due to extreme anxiety, may experience frequent false labor contractions. In such cases, our general approach is still to recommend treatment for pregnancy maintenance. If it's true labor, there is definitely a possibility of premature birth.
What are the symptoms of a natural miscarriage?
What are the symptoms of a spontaneous miscarriage? Spontaneous miscarriage is a process where the embryo is lost from the mother's body. Before diagnosing a spontaneous miscarriage, it is first necessary to confirm an intrauterine pregnancy. After confirming the intrauterine pregnancy, symptoms include abdominal pain and heavy bleeding, which indicate a spontaneous miscarriage. The manifestations of a spontaneous miscarriage primarily include abdominal pain or bleeding, along with the expulsion of necrotic tissue-like material, which is the embryonic tissue. The symptoms are bleeding and abdominal pain. The symptoms of a spontaneous miscarriage are mainly distinguished from an ectopic pregnancy. An ectopic pregnancy can also present similarly, where an ultrasound fails to reveal a gestational sac, accompanied by abdominal pain and bleeding. Such scenarios should be considered for ectopic pregnancy, whereas abdominal pain and bleeding after confirming an intrauterine pregnancy indicates a spontaneous miscarriage.
Can you drink brown sugar water after childbirth bleeding?
Can you drink brown sugar water after childbirth, including after natural childbirth and cesarean section? If it is after natural childbirth, you can drink brown sugar water, but you must check if it contains jujube components. If it does contain jujube, do not drink such brown sugar water. If it is after a cesarean section, do not drink brown sugar water because there are gastrointestinal recovery issues post-cesarean section, especially in the first 1-2 days when there hasn't been gas passing yet. Drinking a lot of brown sugar water can cause abdominal bloating, intestinal obstruction, and other issues. Generally, after a cesarean section, you can drink some brown sugar water after 10 days, but also do not drink brown sugar water that contains jujube.